Integrative Psychotherapy

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My practice is designed to give you the therapeutic tools and processing experiences necessary to bring balance to your nervous system.
This approach can be helpful for clients who suffer the multi-systemic impacts of chronic and acute stress which can show up as anxiety disorders, PTSD and C-PTSD. People seeking support for anxiety related muscle tension, emotional dysregulation and those who identify as "highly sensitive" may also benefit.
If it interests you, we can incorporate mindfulness, meditation, somatic movement, yoga based relaxation training or expressive techniques including role play into your sessions.
Informed by my training in trauma therapy, I specialize in creating a therapeutic environment that optimizes connection to your personal strengths and is paced according to your needs. I draw on training in Sensory Motor Psychotherapy, EMDR, DBT and somatic/body based methods. I graduated from Antioch Graduate School in 2000.
I provide Telehealth sessions to residents of Washington, DC.
PRC13914
CONDITIONS TREATED
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Complex PTSD (C-PTSD) is a trauma-related condition that develops after long-term or repeated trauma, especially in situations where a person feels trapped (e.g., childhood abuse, domestic violence, captivity).
It includes core PTSD symptoms:
Reliving the trauma (flashbacks, nightmares)
Avoiding reminders of the trauma
Feeling constantly on edge (hypervigilance)
But also adds three key difficulties:
Emotional Regulation Issues – Struggling to manage emotions, feeling overwhelmed, numb, or having intense anger/sadness.
Negative Self-View – Deep feelings of shame, guilt, or worthlessness.
Relationship Challenges – Difficulty trusting others, feeling disconnected, or struggling in close relationships.
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Chronic Pain
The DSM-5 defines chronic pain as persistent or recurring pain lasting longer than three months, significantly impacting daily life, mood, and functioning. It is recognized as both a symptom and a disorder when accompanied by emotional distress and impairment. Chronic pain can be influenced by biological, psychological, and social factors, requiring a comprehensive treatment approach.
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Somatic Symptom Disorder
The DSM-5 classifies somatic symptom and related disorders as conditions where individuals experience significant physical symptoms that cause distress or disruption in daily life. These symptoms may not always have a clear medical explanation but are linked to excessive thoughts, feelings, or behaviors related to the symptoms. The key disorders include:
Somatic Symptom Disorder (SSD): Persistent physical symptoms with excessive worry, anxiety, or behaviors focused on the health condition.
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Muscle Tension & Psychogenic Factors
Muscle tension refers to a persistent or excessive tightening of muscles, often leading to discomfort, stiffness, or pain. It can result from physical strain, poor posture, or underlying medical conditions.
Psychogenic Contributions:
Emotional and psychological stress can significantly contribute to muscle tension. Anxiety, trauma, and chronic stress activate the body's fight-or-flight response, leading to prolonged muscle contraction, particularly in the jaw, neck, shoulders, and back. Over time, this can result in pain, fatigue, and restricted movement. Addressing both physical and emotional factors is essential for lasting relief. -
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Executive Function & ADHD: Similarities & Differences
Executive function refers to cognitive skills that help with planning, organization, impulse control, attention, and working memory. These skills are essential for managing daily tasks, problem-solving, and goal setting.
ADHD (Attention-Deficit/Hyperactivity Disorder) involves challenges with executive function, including difficulty focusing, impulsivity, and trouble with organization. However, ADHD is a clinical diagnosis with neurological and genetic components, while executive function difficulties can arise from various causes, including stress, brain injury, or mental health conditions.
While all individuals with ADHD have executive function challenges, not everyone with executive function difficulties has ADHD. Strategies to improve executive function can benefit both groups, but ADHD may require additional medical or therapeutic support.
Therapies Provided
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“A state of consciousness involving focused attention and reduced peripheral
awareness characterized by an enhanced capacity for response to suggestion.”What does it mean?
This shift in consciousness enables us to tap into many of our natural abilities and allows us to make change more quickly. Because hypnosis allows people to use more of their potential, learning self-hypnosis is the ultimate act of self-control.
Clinical hypnosis is a powerful therapeutic tool used to promote healing and behavioral change. In a clinical setting, it involves guiding clients into a deeply focused, relaxed state, where they become more open to therapeutic suggestions and insights. This heightened state of awareness allows for greater access to the subconscious, making it effective in treating anxiety, chronic pain, phobias, and even improving sleep and stress management. Clinical hypnosis can enhance existing therapeutic approaches, facilitating faster progress by tapping into the mind’s natural ability to heal and create change. -
EMDR is a structured therapy that encourages the patient to focus briefly on the trauma memory while simultaneously experiencing bilateral stimulation (typically eye movements), which is associated with a reduction in the vividness and emotion associated with the trauma memories. Eye Movement Desensitization and Reprocessing (EMDR) therapy is an extensively researched, effective psychotherapy method proven to help people recover from trauma and PTSD symptoms. Ongoing research supports positive clinical outcomes, showing EMDR therapy as a helpful treatment for disorders such as anxiety, depression, OCD, chronic pain, addictions, and other distressing life experiences (Maxfield, 2019). EMDR therapy has even been superior to Prozac in trauma treatment (Van der Kolk et al., 2007).
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Somatic therapy is a form of body-centered therapy that focuses on the connection between the mind and body to address psychological and physical issues. Unlike traditional talk therapy, which primarily emphasizes verbal communication, somatic therapy integrates physical sensations, movements, and awareness of the body into the therapeutic process. It works on the idea that trauma, stress, and emotional experiences can be stored in the body, leading to physical symptoms, pain, or tension.
Some key principles of somatic therapy include:
Body Awareness: Clients are encouraged to pay attention to physical sensations, movements, and postures that arise during sessions.
Release of Trauma: It helps clients recognize and release stored tension, pain, or trauma that may be held in the body.
Self-Regulation: The therapy often focuses on helping clients develop tools to regulate their emotions and physical responses to stress or trauma.
Somatic therapies may involve a range of techniques, including breathing exercises, movement, touch, grounding exercises, and mindfulness practices. Modalities like Somatic Experiencing, Sensorimotor Psychotherapy, and Hakomi are common types of somatic therapy. These techniques are used to help individuals process trauma, manage chronic pain, reduce stress, and improve emotional well-being
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Dance/movement therapy, or DMT, is the psychotherapeutic use of movement to promote emotional, social, cognitive, and physical integration.1DMT can help people with physical health by increasing strength, improving flexibility, decreasing muscle tension, and boosting coordination. It can also offer important mental health benefits including stress reduction and even symptom relief from conditions such as anxiety and depression.
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Experiential psychotherapy is a therapeutic approach that focuses on helping clients engage with and process their emotions, thoughts, and experiences in the present moment. Instead of relying primarily on talking about past events or cognitive interpretations, experiential psychotherapy emphasizes direct experience during the therapeutic session. Clients are encouraged to explore their feelings, bodily sensations, and emotional reactions as they arise in the here and now.
Key features include:
Focus on present experience: Therapists help clients become more aware of their immediate emotional and physical experiences.
Use of non-verbal methods: Techniques may involve role-playing, guided imagery, expressive arts, body awareness, or other forms of experiential engagement.
Emotional processing: The therapy facilitates the release and expression of emotions that may be suppressed or unrecognized.
Growth through experience: It promotes self-awareness and personal transformation by allowing clients to experience and work through their emotions rather than simply discussing them.
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DBT focuses on four core skill areas:
Mindfulness: Cultivating awareness of the present moment, helping individuals observe their thoughts and feelings without judgment or impulsive reactions.
Distress Tolerance: Teaching ways to tolerate and cope with difficult emotions or situations without making them worse through harmful behaviors.
Emotion Regulation: Helping individuals identify, understand, and manage intense emotions, reducing emotional vulnerability and increasing emotional balance.
Interpersonal Effectiveness: Developing strategies for asserting one’s needs, setting boundaries, and maintaining healthy relationships, particularly in emotionally intense or conflicted situations.
DBT combines acceptance strategies (validating a person’s experiences) with change strategies (working on modifying behaviors and thoughts) to help clients create a more fulfilling and stable life. The therapy typically includes individual therapy sessions and group skills training, with a structured approach to learning and applying these skills in daily life.
Dialectical Behavior Therapy (DBT) can be effective in managing chronic pain, functional neurological disorder (FND), and trauma by teaching patients skills for regulating intense emotions, reducing stress, and increasing mindfulness, which can help alleviate symptoms. For chronic pain, DBT helps individuals develop distress tolerance and emotion regulation skills to cope with pain more effectively. In cases of FND and trauma, DBT's focus on mindfulness and grounding techniques supports patients in managing dissociative symptoms and emotional dysregulation, promoting greater stability and functioning.
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Cognitive Behavior Therapy (CBT) is a widely used psychological treatment that focuses on identifying and changing negative patterns of thinking and behavior. It is based on the concept that thoughts, emotions, and behaviors are interconnected, and that modifying unhelpful thoughts can lead to changes in feelings and actions. CBT aims to help individuals recognize distorted thinking, challenge their assumptions, and develop healthier, more realistic perspectives.
Key components of CBT include:
Cognitive Restructuring: Identifying and reframing negative or irrational thoughts that contribute to emotional distress.
Behavioral Interventions: Encouraging individuals to engage in activities or behaviors that can improve their mood or resolve problems.
Skills Training: Teaching practical skills like problem-solving, relaxation techniques, and stress management to cope with difficult situations.
CBT is structured, goal-oriented, and usually time-limited, making it effective for treating a range of mental health conditions, such as depression, anxiety, and stress-related disorders.
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HeartMath biofeedback is a technique designed to help individuals manage stress and anxiety by teaching them how to regulate their physiological responses, particularly heart rate variability (HRV). This approach is based on the understanding that the heart and brain are interconnected, and that emotional states can influence heart rhythms.
Key components of HeartMath biofeedback for anxiety include:
HRV Monitoring: Using biofeedback devices, individuals can visualize their heart rate patterns in real-time, which helps them understand how their emotions affect their physiological state.
Coherence Training: The technique emphasizes achieving a state of "coherence," where the heart's rhythm becomes more organized and harmonious, typically associated with positive emotions like calmness and gratitude. Techniques often include focused breathing, visualization, and emotional self-regulation strategies.
Stress Reduction: By practicing these techniques, individuals can learn to shift from a state of stress or anxiety to one of calmness and focus, leading to improved emotional regulation, reduced anxiety symptoms, and enhanced overall well-being.
HeartMath biofeedback is often used as part of a broader therapeutic approach to help individuals gain greater control over their emotional and physiological responses, making it an effective tool for managing anxiety.
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Short-term solution-focused psychotherapy (ST-SFP) is a therapeutic approach that concentrates on identifying and enhancing solutions rather than delving into problems or past issues. This method emphasizes the client's strengths and resources, fostering a collaborative relationship between therapist and client to develop practical strategies for achieving specific goals.
Key characteristics of ST-SFP include:
Goal Orientation: The therapy is focused on setting and achieving specific, measurable goals within a limited timeframe, usually involving only a few sessions.
Strengths-Based Approach: Clients are encouraged to recognize and leverage their existing skills, strengths, and past successes to create positive change.
Future Focus: The emphasis is on envisioning a preferred future and exploring how clients can move toward that future rather than analyzing the origins of their problems.
Brief Interventions: Sessions are typically structured and concise, aiming to produce quick results and empower clients to take immediate action.
Overall, short-term solution-focused psychotherapy is effective for addressing a wide range of issues, such as anxiety, depression, and relationship challenges, by fostering a proactive mindset and promoting practical solutions.
RATES
Mary is not “in network” with any insurance company. She provides a super bill monthly that you can submit to your insurance company to use your out of network benefits.